Active NPI
Lisa Louise Burkhard
- Physical Therapist
- Pleasant Gap, PA
National Provider Identifier
1457520652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016981
- Practice address
- 200 Rachel Dr
Pleasant Gap, PA 16823-9622 - Phone
- (814) 506-8212
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016981 | PA | Primary |
Addresses
Primary practice location
200 Rachel Dr
Pleasant Gap, PA 16823-9622
Mailing address
111 Whisper Ridge Dr
Port Matilda, PA 16870-7204
Phone (814) 404-3023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016981 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546214400000",
"number": "1457520652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WHISPER RIDGE DR",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "168707204",
"telephone_number": "814-404-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RACHEL DR",
"city": "PLEASANT GAP",
"state": "PA",
"postal_code": "168239622",
"telephone_number": "814-506-8212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHARD",
"first_name": "LISA",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2018-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Gap, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.